Figure
Legends:
Figure 1: Intraprocedural Intracardiac echocardiography (ICE):
ICE image of echogenic mass (arrow) attached to the tricuspid valve with
Penumbra Lightning aspiration system directly above it(A). After
aspiration the vegetation is no longer present(B). Similarly, a right
ventricular mass (arrow head) is seen before(C) and after aspiration(D).
Figure 2: Pre and post procedural TEE imaging.
Figure 3: Example of Aspirated Material.
Supplemental Video: ICE imaging of aspiration of vegetations
utilizing the Penumbra aspiration system.